Active NPI
Bradley Steven Buckler, PTA
- Physical Therapy Assistant
- Reno, NV
National Provider Identifier
1902839061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A-0390
- Practice address
- 555 N Arlington Ave
Reno, NV 89503-4724 - Phone
- (775) 786-3040
- Fax
- (775) 786-1358
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A-0390 | NV | Primary |
Addresses
Primary practice location
555 N Arlington Ave
Reno, NV 89503-4724
Mailing address
555 N Arlington Ave
Reno, NV 89503-4724
Phone (775) 786-3040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0390 | NV | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1902839061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034724",
"telephone_number": "775-786-3040",
"fax_number": "775-786-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N ARLINGTON AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895034724",
"telephone_number": "775-786-3040",
"fax_number": "775-786-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLER",
"first_name": "BRADLEY",
"middle_name": "STEVEN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NV",
"license": "A-0390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.